Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12142 | Date 24/09/2024 |
| Token No | SM/24-25/18986 24/09/2024 | Serial | 016 |
| Patient Name | Miss SIBANSHI THAKUR | Contact No | 8249964900 |
| Address | 113 R B SARANI | Age | 1 YRS 7 MONTHS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||